Fokas Kathryn, Robinson Charles S H, Witkiewitz Katie, McCrady Barbara S, Yeater Elizabeth A
University of New Mexico, Department of Psychology, Center on Alcoholism, Substance Abuse, and Addictions.
University of Florida, Department of Clinical and Health Psychology, Center for Pain Research and Behavioral Health.
Alcohol Treat Q. 2020;38(3):290-305. doi: 10.1080/07347324.2019.1669513. Epub 2019 Sep 20.
Although interpersonal trauma history (ITH) is frequently associated with alcohol use disorder (AUD), little is known about specific psychological constructs that may indirectly link these phenomena. This study hypothesized that one such construct may be negative cognitive schemas that often emerge in the aftermath of trauma. Secondary latent variable modeling was conducted using the Project MATCH sample of adults receiving treatment for AUD ( = 1726; 24.3% women; 38.63% ITH). The negative cognitions latent variable provided an excellent fit to the data and showed evidence of strong measurement invariance. As hypothesized, negative cognitions mediated the inverse association between ITH at baseline and percent days abstinent from alcohol 12 weeks later. Findings suggest that negative cognitions may be a specific underlying mechanism and potential treatment target for individuals with ITH and AUD.
尽管人际创伤史（ITH）经常与酒精使用障碍（AUD）相关联，但对于可能间接联系这些现象的特定心理结构却知之甚少。本研究假设，这样一种结构可能是创伤后经常出现的消极认知图式。使用为酒精使用障碍接受治疗的成年人的匹配项目样本进行了二级潜在变量建模（n = 1726；24.3%为女性；38.63%有人际创伤史）。消极认知潜在变量对数据提供了极佳的拟合，并显示出强大的测量不变性的证据。如所假设的，消极认知介导了基线时的人际创伤史与12周后戒酒天数百分比之间的反向关联。研究结果表明，消极认知可能是人际创伤史和酒精使用障碍患者的一种特定潜在机制和潜在治疗靶点。
